Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
August 19, 2025Critical Pathways in Cardiology A Journal of Evidence-Based MedicineOpen Access

Assessing the Utility of the Heart Score in the Era of High-Sensitivity Troponin

View Full Paper
Ask AI
Bookmark
Share

Authors

EKEthan F. KramerJNJonathan Van NameRRRogina Rezk

Discussion

Loading...

Member takes

Overview

Analysis shows high-sensitivity troponin accurately rules out major adverse cardiac events in patients with elevated heart scores, suggesting improved risk stratification.

Key Points

  • High-sensitivity troponin below the 99th percentile ruled out major adverse cardiac events in patients with a moderate or high HEART score.
  • The negative predictive value of high-sensitivity troponin in this study was found to be 99.8%, bolstering its use in the emergency department.
  • The average HEART score recorded was 5.1, indicating significant risk among the analyzed population with chest pain.
  • With a 30-day major adverse cardiac event incidence of only 0.2%, reliance solely on HEART score for admission is cautioned.

Cite This Study

Kramer et al. (2025) studied this question.

synapsesocial.com/papers/68af35ddcf1dd9ea359e9cc7https://doi.org/10.1097/hpc.0000000000000400
View Full Paper
Ask AI
Bookmark
Share